Shadi Medical Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SHADI MEDICAL CORPORATION

Practice address

8815 W Pico Blvd
Los Angeles, CA 90035-3301

Phone

(323) 938-9999

Fax

(323) 456-0880

NPI assigned

Nov 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Payam Shadi, M.D.NPI 1780615724

Title

President

Phone

(323) 938-9999

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Payam Shadi, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Los Angeles, CA
  • NPI 1780615724
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Ayala, MD

  • Internal Medicine Physician
  • Edinburg, TX
  • NPI 1497247332

  CA

  Medicare reassignment Care Compare group NPD
• Talia Nahid Amiri

  • Nurse Practitioner
  • Inglewood, CA
  • NPI 1871000802
  Medicare reassignment NPD
• David Benjamin Lalezari, MD

  • Internal Medicine Physician
  • West Hollywood, CA
  • NPI 1093094427
  Medicare reassignment NPD
• Lawrence A Mora, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1205851615
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1104997311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49879",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900490879",
            "telephone_number": "323-938-9999",
            "fax_number": "323-456-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353301",
            "telephone_number": "323-938-9999",
            "fax_number": "323-456-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "SHADI",
        "authorized_official_first_name": "PAYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-938-9999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A78965",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104997311",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vivien Talosig Shadd, MSN, FNP-BC,CDE
• Tali Shaddaei, CCC-SLP
• Trevor Shaddox, MD, PHD
• Pamela L Shade, CRNA
• Candice Rebecca Shadgoo, DPT
• Ashkan Rafael Shadi, LMFT
• Jonathan R. Shadi, D.D.S.
• Payam Shadi, M.D.
• Shadle Chiropractic Prof. Corp.
• Henry Houshang Shadman, D.D.S.

• Urgent Care Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.